Laparoscopic Cholecystectomy as an Outpatient Procedure

Lam, D.T.Y.; Miranda, Rodrigo; Hom, Shirley J

doi:10.1016/s1072-7515(97)00041-0

Cited by 57 publications

(10 citation statements)

References 4 publications

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“…The admission rate for postoperative nausea and vomiting was low and comparable to published data for patients receiving routine prophylactic antiemetics. 3,6,8,14,20 We do not believe that our low rates or those reported by others not using prophylactic antiemetics justify the routine use of these medications during outpatient LC. Although not a significant primary cause for unplanned admission, OR scheduling contributed to unplanned admissions in several instances.…”

Section: Pathway Development and Introduction: Feasibility Safety Amentioning

confidence: 75%

“…In addition, the factors necessary for successful outpatient care were uncertain. Several authors used strict selection criteria for patient inclusion, 3,5,6,8,9 whereas others reported no exclusion criteria in considering patients for outpatient LC.…”

Section: Pathway Development and Introduction: Feasibility Safety Amentioning

confidence: 99%

“…To maximize the success and safety of outpatient LC, some groups advocate selecting only "healthy" patients. 3,5,6,8,9 We agree that some selection criteria are prudent for freestanding outpatient surgery centers to ensure that appropriate patients are treated at these facilities. However, patients potentially eligible for outpatient LC who do not meet these criteria should be considered for surgery in another venue.…”

Section: Pathway Development and Introduction: Feasibility Safety Amentioning

confidence: 99%

“…21,22 However, this is not universally accepted: some authors report high same-day discharge rates (90 -97%) without the use of local anesthetic at the port sites. 5,6 Nonetheless, use of a local anesthetic is associated with minimal risks and may reduce the incidence…”

Section: Pathway Development and Introduction: Feasibility Safety Amentioning

confidence: 99%

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Outpatient Laparoscopic Cholecystectomy: Patient Outcomes After Implementation of a Clinical Pathway

Calland¹,

Tanaka²,

Foley³

et al. 2001

Annals of Surgery

155

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ObjectiveTo determine the success of a clinical pathway for outpatient laparoscopic cholecystectomy (LC) in an academic health center, and to assess the impact of pathway implementation on same-day discharge rates, safety, patient satisfaction, and resource utilization. Summary Background DataLaparoscopic cholecystectomy is reported to be safe for patients and acceptable as an outpatient procedure. Whether this experience can be translated to an academic health center or larger hospital is uncertain. Clinical pathways guide the care of specific patient populations with the goal of enhancing patient care while optimizing resource utilization. The effectiveness of these pathways in achieving their goals is not well studied. MethodsDuring a 12-month period beginning April 1, 1999, all patients eligible for an elective LC (n ϭ 177) participated in a clinical pathway developed to transition LC to an outpatient procedure. These were compared with all patients undergoing elective LC (n ϭ 208) in the 15 months immediately before pathway implementation. Successful same-day discharges, reasons for postoperative admission, readmission rates, complications, deaths, and patient satisfaction were compared. Average length of stay and total hospital costs were calculated and compared. ResultsAfter pathway implementation, the proportion of same-day discharges increased significantly, from 21% to 72%. Unplanned postoperative admissions decreased as experience with the pathway increased. Patient characteristics, need for readmission, complications, and deaths were not different between the groups. Patients surveyed were highly satisfied with their care. Resource utilization declined, resulting in more available inpatient beds and substantial cost savings.

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Section: Pathway Development and Introduction: Feasibility Safety Amentioning

confidence: 75%

Section: Pathway Development and Introduction: Feasibility Safety Amentioning

confidence: 99%

Section: Pathway Development and Introduction: Feasibility Safety Amentioning

confidence: 99%

Section: Pathway Development and Introduction: Feasibility Safety Amentioning

confidence: 99%

See 2 more Smart Citations

Outpatient Laparoscopic Cholecystectomy: Patient Outcomes After Implementation of a Clinical Pathway

Calland¹,

Tanaka²,

Foley³

et al. 2001

Annals of Surgery

155

View full text Add to dashboard Cite

show abstract

“…Ello se obtiene en forma eficaz empleando anestesia endovenosa con remifentanilo/propofol o bien anestesia balanceada con el gas desfluorano 24 . La serie de CLA presentada en esta comunicación exhibe una baja incidencia de complicaciones intra y post operatorias y una reducida frecuencia de conversión a colecistectomía abierta, que la hace comparable con series similares publicadas en el extranjero 17,[25][26][27][28] . Más de 90% de los pacientes fueron dados de alta dentro del período de observación de 6 h y más de 95% antes de las 24 h de la intervención.…”

Section: Discussionunclassified

Colecistectomía laparoscópica ambulatoria: Una experiencia factible en un hospital público chileno

S¹,

Salas³

et al. 2004

Rev. méd. Chile

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Predictive Factors for Unanticipated Admissions After Ambulatory Laparoscopic Cholecystectomy

Lau

Brooks²

2001

Arch Surg

122

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Analysis of the causes of unanticipated admission after ambulatory laparoscopic cholecystectomy may permit the identification of predictive clinical factors for postoperative admission.Design: Univariate and multivariate analyses of clinical variables associated with unplanned admission in a retrospective case-control series of ambulatory laparoscopic cholecystectomies.Setting: A major university-affiliated teaching hospital.Patients: Seven hundred thirty-one consecutive patients who underwent ambulatory laparoscopic chole-

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Laparoscopic Cholecystectomy as an Outpatient Procedure

Cited by 57 publications

References 4 publications

Outpatient Laparoscopic Cholecystectomy: Patient Outcomes After Implementation of a Clinical Pathway

Outpatient Laparoscopic Cholecystectomy: Patient Outcomes After Implementation of a Clinical Pathway

Colecistectomía laparoscópica ambulatoria: Una experiencia factible en un hospital público chileno

Predictive Factors for Unanticipated Admissions After Ambulatory Laparoscopic Cholecystectomy

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